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Author Question: Bronchiectasis characterized by progressive, distal enlargement of the airways, resulting in ... (Read 23 times)

madam-professor

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on: Jul 16, 2018
Bronchiectasis characterized by progressive, distal enlargement of the airways, resulting in sac-like dilatations is classified as:
 
  a. cylindrical bronchiectasis.
  b. varicose bronchiectasis.
  c. cystic bronchiectasis.
  d. obstructive bronchiectasis.

Question 2

You are called to the ER to assess a 25-year-old female patient in status asthmaticus. Her PEFR results of pre- and post-bronchodilator therapy are given below:
 
  Pre-bronchodilator Post-bronchodilator
  1st attempt 216 334
  2nd attempt 224 330
  3rd attempt 210 340
  You should suggest to the ER physician to:
  a. stop the bronchodilators.
  b. repeat the PEF measurement.
  c. increase the medication dosage.
  d. continue current therapy.


emilymalinowski12

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Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: C
Bronchiectasis refers to the abnormal, irreversible dilatation of the bronchi caused by destructive and inflammatory changes in the airway walls. Bronchiectasis characterized by progressive, distal enlargement of the airways, resulting in sac-like dilatations is classified as Cystic bronchiectasis.

Answer to Question 2

ANS: D
When assessing PEFR results, the highest measurement pre and post should be used to calculate the percentage improvement (pre-post/pre  100). Any improvement of 12 percentage in the PEFR or 200 ml in the FEV1 represent a significant improvement for the bronchodilator. In this case, the patient had an improvement of 52 percentage; hence the therapy should be continued.


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